Gabriel Allen, Sobota Rachel, Gialich Shelby, Maxwell G Patrick
Department of Plastic Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
Plast Surg Nurs. 2013 Jan-Mar;33(1):6-8; quiz 9-10. doi: 10.1097/PSN.0b013e3182844219.
Effective postoperative analgesia is a prerequisite to enhance the recovery process and reduce morbidity. The use of local anesthetic techniques is well documented to be effective, but single-dose techniques (infiltration, peripheral blocks, neuraxial blocks) have been of limited value in major operations because of their short duration of analgesia. Recent advances in technology have led to the development of a noninvasive device, targeted MicroCurrent Therapy, which enhances postsurgical recovery by stimulating the body's natural healing process. This therapy transmits gentle, short bursts of electrical current targeted to the tissue cells at the surgical site. This article reviews recent clinical experience and evidence of this device in plastic and reconstructive surgery.
有效的术后镇痛是加速恢复进程和降低发病率的前提条件。局部麻醉技术的有效性已有充分记录,但单剂量技术(浸润麻醉、外周神经阻滞、椎管内阻滞)在大手术中的价值有限,因为其镇痛持续时间较短。技术的最新进展催生了一种非侵入性设备——靶向微电流疗法,该疗法通过刺激人体自然愈合过程来促进术后恢复。这种疗法会向手术部位的组织细胞传输温和、短暂的电流脉冲。本文综述了该设备在整形和重建手术方面的近期临床经验及证据。